ATI RN
Introduction to Nursing Chapter 1 Quizlet Questions
Question 1 of 5
Which method is the best for the nurse to evaluate the effectiveness of tracheal suctioning?
Correct Answer: D
Rationale: The correct answer is D: Auscultate the chest for change or clearing in adventitious breath sounds. This method is the best way to evaluate the effectiveness of tracheal suctioning because it directly assesses the patient's respiratory status. By auscultating the chest, the nurse can listen for any changes in breath sounds, such as clearing of adventitious sounds, indicating improved airway clearance. This objective assessment provides concrete evidence of the intervention's impact on the patient's respiratory function. Incorrect answers: A: Note subjective data such as "My breathing is much improved now." Subjective data rely on the patient's perception and may not always accurately reflect the actual physiological changes. C: Note objective findings such as decreased respiratory rate and pulse. While these are important vital signs, they may not directly indicate the effectiveness of tracheal suctioning in clearing the airway. B: This statement reflects subjective data and does not provide a direct assessment of the patient's respiratory status post-tracheal
Question 2 of 5
The nurse understands that which of the following foods should be omitted from a patient’s diet before an electroencephalogram (EEG)?
Correct Answer: A
Rationale: Correct Answer: A - Coffee should be omitted from the patient's diet before an EEG because caffeine can interfere with the test results by affecting brain activity and creating false readings. Coffee is a stimulant that can alter brain waves and impact the accuracy of the EEG. Summary of Incorrect Choices: B: A glass of orange juice - Orange juice does not contain caffeine and is not known to interfere with EEG results. C: Cheese - Cheese does not contain caffeine and is not known to interfere with EEG results. D: Strawberry ice cream - Ice cream does not contain caffeine and is not known to interfere with EEG results.
Question 3 of 5
The nurse is caring for a patient with diabetes who had abdominal surgery 3 days ago. Which finding is most important for the nurse to report to the health care provider?
Correct Answer: C
Rationale: The correct answer is C: Oral temperature of 101° F (38.3° C). A postoperative fever could indicate infection, especially in a diabetic patient who is at higher risk. The nurse should report this finding promptly for further evaluation and treatment. Choice A is within the normal range for blood glucose in a patient with diabetes. Choice B, separation of wound edges, could indicate delayed wound healing but is not as urgent as a potential infection. Choice D, increased incisional pain, is expected postoperatively and may not necessarily indicate a complication unless accompanied by other symptoms.
Question 4 of 5
The postanesthesia care unit (PACU) charge nurse notes vital signs on four postoperative clients. Which client would the nurse assess first?
Correct Answer: C
Rationale: The correct answer is C because a respiratory rate of 6 breaths/min indicates severe respiratory distress, potentially leading to respiratory failure or arrest. This client needs immediate assessment and intervention to prevent further complications. A: A blood pressure of 100/50 mm Hg is low but not immediately life-threatening. B: A pulse of 118 beats/min is elevated but not as urgent as severe respiratory distress. D: A temperature of 96° F (35.6° C) is slightly below normal but not a priority compared to respiratory distress.
Question 5 of 5
A postoperative client has just been admitted to the postanesthesia care unit (PACU). What assessment by the PACU nurse takes priority?
Correct Answer: A
Rationale: The correct answer is A: Airway. Priority in postoperative assessment is airway patency to ensure oxygenation and prevent airway obstruction. The rationale is based on the ABCs (Airway, Breathing, Circulation) of prioritizing patient care. Ensuring a clear airway is essential for adequate oxygenation and ventilation, preventing hypoxia and respiratory distress. Bleeding (B) can be addressed once airway is secured. Breathing (C) is important but comes after ensuring the airway. Cardiac rhythm (D) is important but is secondary to airway assessment in this situation.